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Protocolo assistencial de enfermagem para prevenção dos cânceres de mama e colo de útero em pessoas transmasculinas: estudo metodológico

Thu, 01 Jan 2026 00:00:00 GMT

Título: Protocolo assistencial de enfermagem para prevenção dos cânceres de mama e colo de útero em pessoas transmasculinas: estudo metodológico Autor(es): Silva, Denise Montenegro da Abstract: The present study aimed to develop a nursing care protocol for the prevention of breast and cervical cancers among transmasculine individuals. This methodological study was conducted from June 2024 to January 2026, following the Iowa Model of Evidence-Based Practice to Promote Excellence in Health through eight stages: identifying a research question; securing organizational support by recognizing the topic as a priority; conducting a scoping review; designing and implementing a pilot for practice change, involving the team while considering preferences, resources, constraints, and approval processes; developing a protocol and implementation plan, collecting data, and evaluating processes; assessing whether the practice change was appropriate and ready for implementation; integrating the change directly into the current system while monitoring key indicators; and, finally, disseminating the results. The validation stage was conducted using a hybrid format (face-to-face and online). Content validation was performed by seven specialist nurses (online), five individuals from the target care population (hybrid format with members of the Associação Transmasculina do Ceará), and five primary healthcare nurses who evaluated the usability of the protocol (online). Only the penultimate stage was not fully completed. Data were analyzed and presented using descriptive statistics, including absolute and relative frequencies. In addition, item-level content validity indices and the specific calculation required by the evaluation tool were computed. Ethical principles were observed throughout all stages of the study, ensuring participant anonymity. The study results included: the production of a scoping review published in a highly relevant international journal; systematic meetings with the transmasculine population to understand perceptions and preferences regarding the topic; organization, analysis, and interpretation of the data culminating in the development of the protocol; and content validation, in which the overall protocol evaluation by specialists was 0.85, indicating good overall quality, with Domain 5 (Applicability) showing the lowest level of agreement (0.71). Among the transmasculine population, the overall evaluation was 0.95, with Domain 6 (Editorial Independence) presenting the lowest level of agreement (0.55). Following the validation stage, evaluators’ considerations were analyzed, and the relevant modifications were incorporated into the instrument. Regarding usability, the protocol was recognized as a practical and easily implementable tool. In conclusion, the protocol demonstrated valid content and usability within the context of primary healthcare, enabling nurses to guide preventive care practices through evidence-based actions delivered in a more inclusive manner to transmasculine populations. Tipo: Tese

Protocolo clínico para o rastreamento do câncer do colo do útero no Sistema Prisional

Thu, 01 Jan 2026 00:00:00 GMT

Título: Protocolo clínico para o rastreamento do câncer do colo do útero no Sistema Prisional Autor(es): Silva, Caroline Bessa da; Aquino, Priscila de Souza; Pinheiro, Ana Karina Bezerra; Pontes, Ana Thereza Carvalho Tipo: Livro

Protocolo clínico para cuidado pré-natal no Sistema Prisional

Wed, 01 Jan 2025 00:00:00 GMT

Título: Protocolo clínico para cuidado pré-natal no Sistema Prisional Autor(es): Abreu, Victórya Suéllen Maciel; Aquino, Priscila de Souza; Ribeiro, Samila Gomes; Pinheiro, Ana Karina Bezerra; Araujo, Iarlei Silva de; Martins, Aurélio Vasconcelos Tipo: Livro

Eficácia e segurança da auriculoterapia na melhora da qualidade do sono de pessoas vivendo com HIV: Ensaio clínico randomizado

Thu, 01 Jan 2026 00:00:00 GMT

Título: Eficácia e segurança da auriculoterapia na melhora da qualidade do sono de pessoas vivendo com HIV: Ensaio clínico randomizado Autor(es): Ramalho, Ane Kelly Lima Abstract: People living with HIV (PLHIV) have more difficulty sleeping, which may be associated with the virus itself, stigma, and antiretroviral therapy (ART). As a non-pharmacological alternative, there is auriculotherapy, which is included in the National Policy on Integrative and Complementary Practices. The overall objective was to evaluate the effectiveness and safety of auriculotherapy in improving sleep quality in PLHIV and sleep disorders. This is a randomized, controlled clinical trial with a sample of 200 PLHIV, with 100 in the Auriculotherapy group and 100 in the Control group. Inclusion criteria: PLHIV over 18 years of age, on ART for at least three months, and a score higher than 10 on the Pittsburgh Sleep Quality Index (PSQI-BR). Exclusion criteria: mental illness, pregnant women, and ear injury/allergy. Discontinuation criteria: loss to follow-up, initiation of antiretroviral with sleep interference, adverse events, and inability to make telephone contact. PLHIV were recruited from three healthcare institutions in Fortaleza, Ceará, Brazil, and interviewed using the Sociodemographic, Epidemiological, and Clinical Form for PLHIV, the PSQI-BR, and the Insomnia Severity Index (ISI). After randomization, the intervention group received auriculotherapy with mustard seeds on 6 points: Neurasthenia, Neurasthenia area, Anxiety, Heart, Shen Men, and Occipital, with instructions to press them 3 times a day for 30 seconds. The Control group received microporous tape in the 6 points, but without seeds and without applying pressure to the sites. For both groups, after the first session, two more in-person sessions took place on days 7 and 14, with reapplication of the PSQI-BR and ISI. On day 21, a phone call was made and the PSQIBR and ISI were reapplied, with instructions to remove the microporous tapes and mustard seeds. On the 28th day, the PSQI-BR and ISI were reapplied by telephone to analyze the residual effect of auriculotherapy. In the analyses, the normality of distribution of the variables was verified, descriptive statistics were performed, and the area under the curve was calculated. A two-factor analysis of variance model with repeated measures was used. A p-value < 0.05 was considered statistically significant. GraphPad Prism v. 8.0 and IBM SPSS Statistics v. 23.0 software were used for analysis. The study was approved by Ethics Committee and the participants signed the informed consent form. The research was registered in the Brazilian Registry of Clinical Trials and followed the Consolidated Standards of Reporting Trials. Of the 402 PLHIV recruited, 277 were randomized to the Auriculotherapy (N=134) or Control (N=143) groups, with loss to follow-up of 25.5% and 30.0%, respectively. Differences were observed between the groups on days 7, 14, 21, and 28, with a reduction in the total PSQI-BR score in the Auriculotherapy group from day 7 onwards compared to day 0, in addition to differences compared to day 0 within the Auriculotherapy group. Seven days after the removal of materials from the ears, the effect of auriculotherapy lasted until the 28th day. The proportion of responsive patients in the Auriculotherapy group was higher than in the Control group, with a probability of clinical improvement 18.5 times greater in those who underwent auriculotherapy. The relative risk indicated a 72 times greater probability of remission in those undergoing auriculotherapy. In the overall assessment of sleep quality, the area under the curve was smaller in the Auriculotherapy group, due to the reduction in PSQI-BR scores. There were differences between the groups at D7, D14, D21, and D28, with a significant reduction in the total ISI score in the Auriculotherapy group from D7 onwards compared to D0. The proportion of patients without insomnia was higher in the Auriculotherapy group. Adverse events included pain, itching, and increased temperature at the ear points, as well as dizziness, all of which were considered mild. It was concluded that auriculotherapy was effective and safe in improving sleep quality in PLHIV and sleep disorders. Project funded (CNPq, Brazil, No 402380/2023-1). Tipo: Tese